Blood Pressure, Cardiac Ischemia, and Acute Renal Failure

Clinical Judgment – the thinking process that builds on the nursing process (A.D.P.I.E.). Answer the following questions using the textbook, UpToDate, etc. The questions follow the clinical judgment outline in the textbook.
Clinical judgment is defined as the observed outcome of critical thinking and decision-making. It is an iterative process that uses nursing knowledge to observe and assess presenting situations, identify a prioritized client concern, and generate the best possible evidence-based solutions to deliver safe client care. (N.C.S.B.N. definition)
Citation (A.P.A. format)
F. Assessment: Recognize Cues
1 Which data matters most?
2 Which data findings matter most during this hospitalization?
3 Which data is not relevant?
* Why is it not relevant?
Information will come from different sources (e.g. signs, symptoms, medical history, etc).
(4 pts)

G. Analysis: Analyze Cues and Prioritize Hypotheses
Review the relevant data.
1 Which data is consistent with:
* Admitting diagnosis
2 Based on the assessment data, what are potential complications the patient is at risk?
3 What are two priority problems?
(4 pts)

H. Planning & Implementation: Generate Solutions and Take Action
1 What are the nursing interventions for the expected outcome?
2 What is the highest priority(s) that needs to be addressed?
(4 pts)

I. Planning: Expected Outcomes
1 What are the expected outcomes for the:
* Admitting diagnosis
2 What are the observed outcomes for the:
* Admitting diagnosis
(3 pts)

1 The most significant datum is the blood pressure, such that a systolic blood pressure of more than 180mmHg and a diastolic blood pressure of more than 110mmHg define hypertensive urgency. An additional characteristic of target end-organ damage defines hypertensive emergency (Alley & Copelin, 2021; Alley & Shick, 2021).

* Blood pressure level and the presence of end-organ damage (Alley & Copelin, 2021).

1. Frequent...